Level 4 Musculoskeletal Procedures
In 2024, Medicare and patients paid an average of $6,708 per procedure at 2,236 hospitals. Half of hospitals averaged between $6,160 and $6,976.
Also known as: Orthopedic surgery, arthroscopy, outpatient joint surgery
National figures, 2024
- Average payment per case
- $6,708
- Typical range (middle half of hospitals)
- $6,160–$6,976
- Medicare’s share
- $5,339
- Average billed charge
- $46,846
- Hospitals reporting
- 2,236
Hospitals in Texas
Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.
- Average payment across these 187 hospitals
- $6,316
- Median hospital
- $6,327
- Lowest to highest
- $3,212–$6,938
- Medicare procedures
- 14,804
187 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–100. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Northwest Texas Hospital | 18 | $6,207 | About average | $4,946 | $96,652 |
| Rio Grande Regional Hospital | 13 | $6,207 | About average | $4,946 | $149,618 |
| Sierra Medical Center | 37 | $6,207 | About average | $4,946 | $118,293 |
| Woodland Heights Medical Center | 33 | $6,207 | About average | $4,946 | $159,675 |
| Doctors Hosptal At Renaissance | 50 | $6,207 | About average | $4,945 | $39,260 |
| University Health System | 66 | $6,208 | About average | $4,943 | $32,241 |
| Peterson Regional Medical Center | 98 | $6,208 | About average | $4,942 | $24,626 |
| Doctors Hospital Of Laredo | 34 | $6,208 | About average | $4,942 | $59,221 |
| Covenant Medical Center | 54 | $6,208 | About average | $4,942 | $81,777 |
| The Hospitals Of Providence - East Campus | 19 | $6,208 | About average | $4,936 | $103,072 |
| Nacogdoches Medical Center | 12 | $6,208 | About average | $4,930 | $115,365 |
| South Texas Health System | 11 | $6,208 | About average | $4,929 | $237,371 |
| Valley Baptist Medical Center- Brownsville | 24 | $6,208 | About average | $4,925 | $95,803 |
| Baptist Beaumont Hospital | 66 | $6,209 | About average | $4,932 | $40,624 |
| North Austin Medical Center | 62 | $6,216 | About average | $4,936 | $109,391 |
| The Medical Center Of Southeast Texas | 21 | $6,227 | About average | $4,952 | $52,068 |
| St David's Medical Center | 178 | $6,240 | About average | $4,960 | $90,857 |
| Baylor Scott And White Medical Center Lake Pointe | 78 | $6,241 | About average | $4,932 | $36,595 |
| Baylor University Medical Center | 121 | $6,242 | About average | $4,957 | $30,066 |
| Citizens Medical Center | 34 | $6,243 | About average | $4,973 | $26,766 |
| Houston Methodist Clear Lake Hospital | 107 | $6,250 | About average | $4,940 | $76,070 |
| Baylor Scott And White Surgical Hospital Fortworth | 137 | $6,263 | About average | $4,970 | $33,514 |
| Baylor Medical Center At Trophy Club | 149 | $6,266 | About average | $4,977 | $40,131 |
| Methodist Mansfield Medical Center | 27 | $6,268 | About average | $4,955 | $31,132 |
| Methodist McKinney Hospital | 89 | $6,287 | About average | $4,985 | $31,908 |
| Christus Good Shepherd Medical Center | 135 | $6,289 | About average | $4,991 | $78,573 |
| Hendrick Medical Center | 186 | $6,289 | About average | $4,990 | $80,372 |
| Ascension Seton Northwest | 15 | $6,297 | About average | $5,017 | $82,057 |
| Ascension Seton Southwest | 20 | $6,297 | About average | $5,017 | $85,050 |
| Baylor Scott & White Medical Center- Austin | 13 | $6,297 | About average | $5,017 | $32,143 |
| Christus Santa Rosa Hospital-San Marcos | 12 | $6,297 | About average | $5,017 | $63,315 |
| Dell Seton Medical Center At The University Of Tx | 36 | $6,297 | About average | $5,017 | $71,543 |
| Ascension Seton Medical Center Austin | 98 | $6,297 | About average | $5,017 | $71,447 |
| St David's South Austin Medical Center | 49 | $6,297 | About average | $5,017 | $101,372 |
| Baylor Scott & White Medical Center Pflugerville | 26 | $6,297 | About average | $5,016 | $31,504 |
| Texas Health Harris Methodist Fort Worth | 76 | $6,303 | About average | $4,995 | $38,079 |
| Texas Health Huguley Hospital Fort Worth South | 34 | $6,307 | About average | $4,994 | $83,302 |
| Longview Regional Medical Center | 92 | $6,309 | About average | $5,011 | $112,247 |
| Baylor Scott And White Medical Center McKinney | 41 | $6,313 | About average | $5,001 | $37,849 |
| Medical City Fort Worth | 36 | $6,316 | About average | $5,003 | $145,079 |
| Baylor Scott And White Medical Center Uptown | 140 | $6,319 | About average | $5,019 | $34,609 |
| Texas Health Presbyterian Hospital Dallas | 44 | $6,321 | About average | $5,013 | $44,895 |
| Methodist Hospital For Surgery | 89 | $6,323 | About average | $5,014 | $40,213 |
| Medical City Dallas Hospital | 46 | $6,327 | About average | $5,018 | $96,286 |
| Hunt Regional Medical Center | 45 | $6,327 | About average | $5,014 | $24,784 |
| Baylor Scott And White Orthopedic And Spine Hospi | 244 | $6,332 | About average | $5,019 | $37,283 |
| Texas Institute For Surgery At Presbyterian Hospit | 214 | $6,343 | About average | $5,028 | $29,632 |
| Baylor Scott & White Medical Center Plano | 54 | $6,343 | About average | $5,035 | $40,677 |
| North Central Surgical Center LLP | 464 | $6,344 | About average | $5,035 | $31,789 |
| Baylor Surgical Hospital At Las Colinas | 58 | $6,350 | About average | $5,041 | $23,778 |
National trend
Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.
- Average payment
- Average billed charge
View data as a table
| Year of care | Average payment | Average billed charge |
|---|---|---|
| 2020 | $5,850 | $36K |
| 2021 | $6,173 | $38K |
| 2022 | $6,265 | $41K |
| 2023 | $6,439 | $43K |
| 2024 | $6,708 | $47K |
By state, 2024
Case-weighted average payment across each state’s reporting hospitals, lowest first.
Show all 50 states
| State | Hospitals | Cases | Average payment | Typical range |
|---|---|---|---|---|
| Vermont | 6 | 406 | $3,797 | $3,255–$3,916 |
| Alabama | 40 | 3,199 | $5,780 | $5,631–$5,969 |
| Mississippi | 27 | 1,649 | $5,823 | $5,775–$5,941 |
| Tennessee | 51 | 3,601 | $5,874 | $5,762–$6,061 |
| Louisiana | 44 | 2,934 | $5,934 | $5,870–$6,009 |
| South Carolina | 42 | 4,711 | $5,959 | $5,941–$6,150 |
| West Virginia | 19 | 1,042 | $6,000 | $5,847–$6,062 |
| Oklahoma | 47 | 4,231 | $6,079 | $5,978–$6,242 |
| Ohio | 97 | 6,480 | $6,094 | $6,004–$6,255 |
| Kentucky | 38 | 2,604 | $6,103 | $5,904–$6,196 |
| Arkansas | 27 | 3,228 | $6,128 | $5,995–$6,357 |
| Kansas | 37 | 3,194 | $6,178 | $6,076–$6,414 |
| Missouri | 54 | 4,429 | $6,179 | $6,129–$6,357 |
| Michigan | 73 | 3,919 | $6,197 | $6,092–$6,411 |
| Iowa | 26 | 1,799 | $6,231 | $6,040–$6,446 |
| Georgia | 73 | 4,396 | $6,231 | $6,047–$6,499 |
| Texas | 188 | 14,876 | $6,317 | $6,207–$6,467 |
| Virginia | 56 | 4,434 | $6,335 | $6,122–$6,565 |
| North Carolina | 65 | 5,586 | $6,354 | $6,226–$6,437 |
| Indiana | 65 | 4,325 | $6,361 | $6,324–$6,467 |
| Utah | 31 | 1,792 | $6,374 | $6,159–$6,409 |
| Florida | 131 | 10,094 | $6,397 | $6,364–$6,480 |
| Nebraska | 23 | 1,952 | $6,401 | $6,280–$6,540 |
| New Mexico | 17 | 768 | $6,455 | $6,082–$6,447 |
| Maine | 13 | 897 | $6,469 | $6,139–$6,618 |
| Idaho | 15 | 1,643 | $6,476 | $6,438–$6,749 |
| Wisconsin | 54 | 3,455 | $6,482 | $6,373–$6,665 |
| Pennsylvania | 105 | 7,105 | $6,566 | $6,340–$6,811 |
| Illinois | 83 | 5,712 | $6,652 | $6,540–$6,792 |
| South Dakota | 13 | 1,994 | $6,722 | $6,636–$7,053 |
| Montana | 9 | 943 | $6,754 | $6,664–$7,044 |
| North Dakota | 6 | 913 | $6,773 | $6,707–$6,936 |
| Colorado | 46 | 3,137 | $6,822 | $6,747–$6,810 |
| New Hampshire | 12 | 886 | $6,863 | $6,697–$6,917 |
| Minnesota | 41 | 2,455 | $6,909 | $6,681–$6,908 |
| Wyoming | 10 | 395 | $6,970 | $6,897–$7,183 |
| Arizona | 46 | 3,573 | $7,012 | $6,879–$6,976 |
| Rhode Island | 7 | 391 | $7,123 | $7,191–$7,260 |
| Delaware | 6 | 568 | $7,128 | $7,114–$7,167 |
| District of Columbia | 4 | 325 | $7,212 | $7,161–$7,276 |
| Washington | 43 | 3,552 | $7,247 | $7,117–$7,445 |
| Nevada | 18 | 1,135 | $7,592 | $7,431–$7,662 |
| New Jersey | 50 | 3,791 | $7,592 | $7,398–$7,661 |
| Massachusetts | 49 | 5,761 | $7,605 | $7,565–$7,683 |
| Oregon | 29 | 1,729 | $7,605 | $7,289–$7,507 |
| Alaska | 6 | 341 | $7,642 | $7,412–$7,862 |
| New York | 93 | 6,933 | $7,713 | $7,585–$8,061 |
| Connecticut | 21 | 1,133 | $7,916 | $7,863–$8,026 |
| Hawaii | 10 | 419 | $8,172 | $8,004–$8,526 |
| California | 170 | 11,641 | $9,047 | $8,737–$9,368 |
About these numbers
Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. For outpatient procedures it is Medicare’s allowed amount, which leaves out extra “outlier” payments for unusually costly cases; those are shown under the hospital name where CMS reported any, and included in the CSV. Billed charges are the hospital’s list prices, which few patients pay.
Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.
Source: CMS Medicare Outpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 procedures. More in the glossary.